【摘要】 目的 通过冠脉造影探讨冠心病合并糖尿病者冠脉病变特点。方法 回顾我院2000-2006年1 068例冠心病患者造影检查阳性者对380例糖尿病合并冠心病者行冠脉造影，并与688例非糖尿病的冠心病患者相比较。结果 糖尿病并冠心病者三支病变和弥漫性病变者分别为56．8%和58%，明显高于非糖尿病者(21．5%和16%)。结论 冠心病并糖尿病者冠脉造影主要表现为多支病变及复杂病变，而非糖尿病者多为单支或双支病变，糖尿病组冠脉狭窄程度明显高于非糖尿病组，显示糖尿病对冠脉病变影响大，糖尿病为冠心病的独立危险因素。
【关键词】冠心病；糖尿病；冠状动脉造影术
Analysis of coronary angiographic findings in patients with coronary artery disease complicated diabetes mellitus
FENG Jian,WU Yu-ping，LU Zhi-fang.Department of Emergercy,the People’s Hospital of Weifang,Shandong Province 261041,China
【Abstract】 Objective To investigate the findings of coronary artery angiography in patients with coronary artery disease complicated diabetes mellitus.Methods The angiographic findings of 1 068 coronary artery disease patients from 2000 to 2006 were reviewed.Among them,380 were diatetic,688 were nondiabetics.Results 3-or-more-vessel or multiple stenosis are the main expression among the patients of coronary artery disease complicated diabetes.1-vessel or 2-vessel disease are the main expression among the nondiabetics.Conclusion Coronary artery disease patients with diabetes mellitus have more severe changes in coronary artery.Diabetes is the independent risk factor.Diabetes have great influences to coronary artery.
【Key words】Coronary artery disease;Diabetes mellitus;Coronary artery angiography
糖尿病者冠心病发病率较高，为9．5%~55%，普通人群为1．6%~4．1%，而且冠脉病变较重，致糖尿病患者70%~80%死于心血管系统并发症，有报道说，糖尿病并冠心病者双支和三支病变占81%，非糖尿病者仅占17%，近年通过冠脉造影确诊的ECG无异常的冠心病人明显增多，特别是糖尿病者冠脉造影阳性率更高，但缺乏大量病例的回顾分析，我们分析了本院2000-2006年1 068例冠心病人冠脉造影结果，其中糖尿病380例，非糖尿病688例，报道如下。（剩余1385字）